Alrashed Rema, AlHarbi Hussam, Alanazi Basmah A, Binaskar Mohammed, Al Hasan Ibrahim, Algarni Abdullah A, Almodhaiberi Helayel
General Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
General Surgery, Al Kharj Armed Forces Hospital, Riyadh, SAU.
Cureus. 2023 Mar 15;15(3):e36166. doi: 10.7759/cureus.36166. eCollection 2023 Mar.
Retained foreign bodies including gossypiboma could be silent for years. However, in some cases, it can lead to major complications. Gossypiboma is not frequently reported for multiple reasons, including nonspecific presentation clinically and radiologically, and ethical issues. We present a case of a gossypiboma that was retained for more than 20 years causing a severe intestinal obstruction for an elderly female. The intestinal obstruction was initially thought to be adhesive in nature and was managed initially conservatively, but with failure to improve, the patient was taken for exploratory laparotomy, and the foreign body was found attached to the root of the mesentery posterior to the transverse colon. This case sheds light on the fact that although surgical tools are of great utility, they must be managed with utmost care to prevent complications and secure patients' safety.
包括棉芯瘤在内的残留异物可能多年都没有症状。然而，在某些情况下，它可能导致严重并发症。由于多种原因，棉芯瘤的报告并不常见，包括临床和放射学表现不具特异性以及伦理问题。我们报告一例棉芯瘤病例，该异物在一位老年女性体内留存了20多年，导致严重肠梗阻。肠梗阻最初被认为是粘连性的，最初采取保守治疗，但病情未见改善，于是对患者进行了剖腹探查术，发现异物附着在横结肠后方的肠系膜根部。该病例揭示了这样一个事实，即尽管手术工具非常有用，但必须极其小心地管理，以防止并发症并确保患者安全。
